The Consolidated Appropriations Act of 2021 (CAA) includes a new prescription drug reporting mandate that requires group health plans and insurance companies to report information to CMS about prescription drug pricing and healthcare spending data. The fi
In a publicly lauded move, Congress enacted The No Surprises Act (the "Act") to end the balance billing of patients and protect insured patients from surprise bills for emergency services.
The Departments of the Treasury, Labor, and Health and Human Services (the Departments) issued final rules related to the No Surprises Act on August 26, 2022, to be effective October.
Summary: For Health Plans, Machine-Readable Files, containing in-network provider charges and out-of-network allowed amounts and billed charges, must be posted on a public website by.
Enforcement of one of the Transparency in Coverage Final Rules ("TiC Rules") begins on July 1, 2022. The rule requires plans and issuers to make machine-readable files publicly available.